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2 "Min-Jeong Shin"
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Metabolic Risk/Epidemiology
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Obesity Transitions by Age, Period, and Cohort: A Population-Based Application of the Lancet Commission Framework in the United States and Korea
Garam Jo, Dahyun Park, Shieon Kim, Hee Ju Jun, Faidon Magkos, Jordi Merino, Qi Sun, Rockli Kim, S.V. Subramanian, Paul W. Franks, Min-Jeong Shin
Received September 19, 2025  Accepted February 6, 2026  Published online April 10, 2026  
DOI: https://doi.org/10.4093/dmj.2025.0918    [Epub ahead of print]
  • 4,522 View
  • 120 Download
  • 1 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background
While emerging global classification frameworks highlight the need to redefine obesity beyond body mass index (BMI) to improve prevention strategies and public health policy, population-level applications remain scarce. We examined trends in BMI-based and newly proposed Lancet Commission definitions of obesity in the United States and South Korea, two countries with contrasting obesity trends.
Methods
Using representative data from the United States National Health and Nutrition Examination Survey (NHANES, 2003–2016) and the Korea National Health and Nutrition Examination Survey (KNHANES, 2007–2023), we conducted age-standardized and age-period-cohort (APC) analyses to compare obesity trends.
Results
Newly defined obesity phenotypes demonstrated a greater proportion of at-risk individuals than BMI alone, particularly among United States women and Korean men. Excess adiposity in the United States showed early increases from 55.6% to over 75%, followed by stabilization, while Korea exhibited a sustained upward trend. APC analyses revealed more divergent patterns. These sex-specific patterns align with differences in visceral adiposity by sex and in East Asian populations. Period effects on obesity were characterized by a high and sustained burden in the United States, but a more gradual yet persistent upward trend in Korea. Preclinical obesity displayed a U-shaped cohort effect in the United States, with higher prevalence in cohorts born after 1975, whereas clinical obesity continued to rise in Korea’s recent birth cohorts, especially among men.
Conclusion
Our findings emphasize the utility of expanded obesity definitions and APC analysis in capturing sex-specific and generational patterns of obesity and related complications. They support adopting life-course, cohort-informed approaches in obesity prevention.

Citations

Citations to this article as recorded by  
  • The Association Between Serum C-Reactive Protein Levels and Body Fat Parameters: Results from the Korean National Health and Nutrition Examination Survey
    Hyemin Jeong
    Medicina.2026; 62(6): 1014.     CrossRef
Guideline/Fact Sheet
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Dyslipidemia Fact Sheet in South Korea, 2022
Eun-Sun Jin, Jee-Seon Shim, Sung Eun Kim, Jae Hyun Bae, Shinae Kang, Jong Chul Won, Min-Jeong Shin, Heung Yong Jin, Jenny Moon, Hokyou Lee, Hyeon Chang Kim, In-Kyung Jeong, on Behalf of the Committee of Public Relation of the Korean Society of Lipid and Atherosclerosis
Diabetes Metab J. 2023;47(5):632-642.   Published online August 2, 2023
DOI: https://doi.org/10.4093/dmj.2023.0135
  • 27,127 View
  • 612 Download
  • 78 Web of Science
  • 57 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background
This study aimed to investigate the prevalence and status of dyslipidemia management among South Korean adults, as performed by the Korean Society of Lipid and Atherosclerosis under the name Dyslipidemia Fact Sheet 2022.
Methods
We analyzed the lipid profiles, age-standardized and crude prevalence, management status of hypercholesterolemia and dyslipidemia, and health behaviors among Korean adults aged ≥20 years, using the Korea National Health and Nutrition Examination Survey data between 2007 and 2020.
Results
In South Korea, the crude prevalence of hypercholesterolemia (total cholesterol ≥240 mg/dL or use of a lipid-lowering drug) in 2020 was 24%, and the age-standardized prevalence of hypercholesterolemia more than doubled from 2007 to 2020. The crude treatment rate was 55.2%, and the control rate was 47.7%. The crude prevalence of dyslipidemia—more than one out of three conditions (low-density lipoprotein cholesterol ≥160 or the use of a lipid-lowering drug, triglycerides ≥200, or high-density lipoprotein cholesterol [HDL-C] [men and women] <40 mg/dL)—was 40.2% between 2016 and 2020. However, it increased to 48.2% when the definition of hypo-HDL-cholesterolemia in women changed from <40 to <50 mg/dL.
Conclusion
Although the prevalence of hypercholesterolemia and dyslipidemia has steadily increased in South Korea, the treatment rate remains low. Therefore, continuous efforts are needed to manage dyslipidemia through cooperation between the national healthcare system, patients, and healthcare providers.

Citations

Citations to this article as recorded by  
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